Predictors of recovering ambulation after hip fracture inpatient rehabilitation

Cecchi, Francesca; Pancani, Silvia; Antonioli, Desiderio; Avila, Lucia; Barilli, Manuele; Gambini, Massimo; Pellegrini, Lucilla Landucci; Romano, Emanuela; Sarti, Chiara; Zingoni, Margherita; Gabrielli, Maria Assunta; Vannetti, Federica; Pasquini, Guido; Macchi, Claudio

doi:10.1186/s12877-018-0884-2

Cited by 33 publications

(42 citation statements)

References 28 publications

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“…Several previous studies have already reported that low pre-fracture physical function is associated with poor functional recovery after a hip fracture 8 , 9 , 10 ) . Similarly, we confirmed that the influence of pre-fracture ambulatory ability on FIM effectiveness after a hip fracture is significant, and that this impact is independent of HF ( Table 3 ).…”

Section: Discussionmentioning

confidence: 96%

“…A reduced capacity for exercise prior to hospitalization is known to be a risk factor for hospitalization-associated disabilities 7 ) and affects the functional recovery after a hip fracture 8 , 9 , 10 ) , which is a major concern related to patient outcomes after such an incident. HF patients exhibit abnormal protein metabolism (accelerated catabolism and decreased assimilation) due to chronic inflammation, high oxidative stress, declining levels of anabolic hormones, and malnutrition, and conditions known as sarcopenia and cardiac cachexia 3 , 11 ) .…”

Section: Introductionmentioning

confidence: 99%

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Impact of heart failure on functional recovery after hip fracture

Itagaki

Kakizaki²,

Funahashi³

et al. 2019

J Phys Ther Sci

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[Purpose] Heart failure has been identified as a risk factor for reduced physical function and falls; however, the impact of heart failure on functional recovery after a hip fracture is unclear. This study aimed to examine how heart failure and pre-fracture physical function affect recovery after a hip fracture. [Participants and Methods] The study population consisted of 122 patients with sub-acute hip fracture (mean age 81.7 ± 9.7 years, 18.9% male) who were divided into two groups: heart failure and non-heart failure. The outcome measurement was the functional independence measure effectiveness. A two-way analysis of variance was performed to investigate how heart failure and ambulatory ability prior to hip fracture were related to the functional independence measure effectiveness. [Results] Seventeen patients (13.9%) had a history of heart failure. The two-way analysis of variance showed the two independent variables (heart failure and ambulatory ability before fracture) had significant main effects; however, their interaction effect was not significant. [Conclusion] Heart failure affects functional recovery after hip fracture independent of the pre-fracture physical function, and vice versa. Further research on rehabilitation in hip fracture patients with heart failure is required to develop strategies to overcome poor functional recovery in such patients.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Impact of heart failure on functional recovery after hip fracture

Itagaki

Kakizaki²,

Funahashi³

et al. 2019

J Phys Ther Sci

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“…According to previously reported data, the factors associated with ambulation capacity after hip fracture include age, gender, prefracture ambulatory capacity and combined medical disease, cognitive status, serum albumin, serum folic acid, visual impairment, sarcopenia, and impaired communication [ 9 , 27 – 30 ]. Though some of these factors were not included in our analysis, handgrip strength was reported to be an efficient parameter for assessing general comorbidities and cognitive status in the elderly [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Handgrip strength: a reliable predictor of postoperative early ambulation capacity for the elderly with hip fracture

Chang

Lee

Shih

et al. 2021

BMC Musculoskelet Disord

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Backgrounds A common sequela of hip fracture is loss of ambulation capacity. Prediction of postoperative ambulation capacity is important for surgical and rehabilitation decision making. Handgrip strength is a quick and convenient tool for evaluating postoperative functional ability and outcome in variety of clinical conditions for the elderly and is associated with the use of walking aids. We propose that handgrip strength may be a good predictor for postoperative early ambulation. The purpose of our study was to investigate the contribution of handgrip strength in the prediction of postoperative early ambulation capacity in elderly hip fracture patients. Methods Clinical data of patients with low-energy hip fractures who received surgery from Jan 2018 to Dec 2019 were prospectively collected. The correlations of ambulation time with complication rate, age, gender, injured side, fracture classifications, surgical procedure, body mass index (BMI), and handgrip strength were analyzed. Results Sixty-three hip fracture patients were included in this study. Patients whose ambulation time was less than 3 days after the operation had significantly fewer postoperative complications (P = 0.006). Handgrip strength showed the strongest correlation with postoperative early ambulation capacity (P = 0.004). The handgrip strength threshold value for early ambulation was found to be 20.5 kg for male patients and 11.5 kg for female patients. Conclusion Handgrip strength testis a quick and convenient tool for predicting postoperative early ambulation capacity. In elderly Asians, male patients with a handgrip strength above 20.5 kg and female patients with a handgrip strength above 11.5 kg suggest a high likelihood of early postoperative ambulation and a lower risk of complications after the hip surgery.

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“…Criteria to establish the minimum time interval before the injured person undergoes medico-legal examination A search of the literature did not provide results on the topic, partly because an unambiguous definition of clinical stability is still lacking [71]. Some studies suggest that multidimensional assessment scales may help define the stabilization parameters of specific injuries (e.g., femur fractures) and acute conditions [72][73][74][75]. However, there is no conclusive evidence in this regard.…”

Section: Examination Procedures For the Medico-legal Ascertainment Ofmentioning

confidence: 99%

Medico-legal assessment of personal damage in older people: report from a multidisciplinary consensus conference

Ingravallo

Cerquetti²,

Vignatelli

et al. 2020

Int J Legal Med

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Ageing of the global population represents a challenge for national healthcare systems and healthcare professionals, including medico-legal experts, who assess personal damage in an increasing number of older people. Personal damage evaluation in older people is complex, and the scarcity of evidence is hindering the development of formal guidelines on the subject. The main objectives of the first multidisciplinary Consensus Conference on Medico-Legal Assessment of Personal Damage in Older People were to increase knowledge on the subject and establish standard procedures in this field. The conference, organized according to the guidelines issued by the Italian National Institute of Health (ISS), was held in Bologna (Italy) on June 8, 2019 with the support of national scientific societies, professional organizations, and stakeholders. The Scientific Technical Committee prepared 16 questions on 4 thematic areas: (1) differences in injury outcomes in older people compared to younger people and their relevance in personal damage assessment; (2) pre-existing status reconstruction and evaluation; (3) medico-legal examination procedures; (4) multidimensional assessment and scales. The Scientific Secretariat reviewed relevant literature and documents, rated their quality, and summarized evidence. During conference plenary public sessions, 4 pairs of experts reported on each thematic area. After the last session, a multidisciplinary Jury Panel (15 members) drafted the consensus statements. The present report describes Conference methods and results, including a summary of evidence supporting each statement, and areas requiring further investigation. The methodological recommendations issued during the Conference may be useful in several contexts of damage assessment, or to other medico-legal evaluation fields.

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Predictors of recovering ambulation after hip fracture inpatient rehabilitation

Cited by 33 publications

References 28 publications

Impact of heart failure on functional recovery after hip fracture

Impact of heart failure on functional recovery after hip fracture

Handgrip strength: a reliable predictor of postoperative early ambulation capacity for the elderly with hip fracture

Medico-legal assessment of personal damage in older people: report from a multidisciplinary consensus conference

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